A 53-year-old man felt increasingly tired for the last month. He had mild pain in his abdomen, which he feels is slightly fuller than normal. There is right ventricular heave and a pan-systolic murmur, heard best at the left sternal edge. Which single examination is most likely to support the diagnosis?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: D. Prominent V wave in JVP
RV heave, a pansystolic murmur at the left sternal edge and abdominal fullness (congested liver) indicate tricuspid regurgitation. The supportive bedside sign is a prominent V wave in the JVP (often with a pulsatile liver). A prominent a wave suggests pulmonary hypertension/tricuspid stenosis without TR, while collapsing pulse and hyperdynamic apex point to aortic or mitral regurgitation.
ليش كل خيار صح أو غلط
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A
ليش غلط
A collapsing (water-hammer / Corrigan) pulse is a sign of aortic regurgitation, not tricuspid regurgitation.
✓ CARDIOLOGY- VHD+IE.pdf · p. 10 -
B
ليش غلط
A diffuse, hyperdynamic displaced apex impulse is described in aortic regurgitation, not in tricuspid regurgitation.
✓ CARDIOLOGY- VHD+IE.pdf · p. 10 -
C
ليش غلط
A giant a wave occurs in tricuspid stenosis (right atrial outflow obstruction), not in tricuspid regurgitation.
✓ Valvular disease ...pdf · p. 16 -
D
ليش صح
Tricuspid regurgitation shows prominent V waves in the jugular venous pulse (with a pulsatile liver), alongside a holosystolic murmur at the LLSB.
✓ Step Up To Medicine 6th (Valvular Heart Disease).pdf · p. 7
- المصدر
- Valvular disease ...pdf · p. 16
Step Up To Medicine 6th (Valvular Heart Disease).pdf · p. 7 - المحاضرة
- Valvular Heart Disease · Cardiology · Module B
- ظهر في
- Cardio bank